Chen Shanwen, Zhang Hongkun, Tian Lu, Li Ming, Zhou Min, Wang Zhonggao
Department of Urology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, People's Republic of China.
Int Urol Nephrol. 2009;41(2):427-30. doi: 10.1007/s11255-008-9478-9. Epub 2008 Oct 22.
We present a case of migration of the left renal vein (LRV) stent into the right ventricle in a patient with nutcracker syndrome. After a failed attempt of percutaneous endovascular removal of the stent, the stent in the heart was removed by open cardiac surgery, another stent was placed into the LRV via a puncture in the inferior vena cava (IVC) under direct vision, and the patient had an uneventful postoperative recovery. At 3 years follow-up, the patient was asymptomatic and Doppler ultrasonography demonstrated the stent to be patent and well-positioned.
我们报告一例胡桃夹综合征患者左肾静脉（LRV）支架移位至右心室的病例。经皮血管腔内取出支架尝试失败后，通过心脏直视手术取出心脏内的支架，在直视下经下腔静脉（IVC）穿刺将另一枚支架置入左肾静脉，患者术后恢复顺利。随访3年时，患者无症状，多普勒超声检查显示支架通畅且位置良好。
